10/8/13. Passy Muir Inc. 1. Presenter THE HOME CARE TRACHEOSTOMY TEAM: NAVIGATING AND NETWORKING. Disclosure Statement

Size: px
Start display at page:

Download "10/8/13. Passy Muir Inc. 1. Presenter THE HOME CARE TRACHEOSTOMY TEAM: NAVIGATING AND NETWORKING. Disclosure Statement"

Transcription

1 Welcome to Passy-Muir s Event Webinar: The Home Care Tracheostomy Team: If you have not registered for this event, go to the Education Portal to complete your registration. ep.passy-muir.com This is an Audio Broadcast meeting, which means that the audio signal will be sent out through your computer. A toll telephone number will also be available. Use the Communicate section of the file menu for audio options. Call-in toll number (US/Canada) Access code: THE HOME CARE TRACHEOSTOMY TEAM: NAVIGATING AND NETWORKING The audio for this meeting is one-way, so the presenter will not be able to hear the attendees, nor will the attendees be able to hear each other. If you have a question for the presenter, please use the Q and A (not the chat box), to the lower right of meeting window. After the webinar ends, you will have an opportunity to fill in your evaluation in the Passy-Muir Education Portal If you have a technical issue, please call Passy-Muir at , or Daniel at dcarrillo@passy-muir.com Disclosure Statement Passy-Muir, Inc. has developed and patented a licensed technology trademarked as the Passy- Muir Tracheostomy and Ventilator Swallowing and Speaking Valve. This presentation will focus primarily il on the biased-closed d position Passy-Muir Valve and will include little to no information on other speaking valves. Presenter Michael S. Harrell, B.S., RRT Director of Clinical Education-Respiratory Passy-Muir Inc. mharrell@passy-muir.com (949) Disclosure: Financial Employee of Passy-Muir Inc. Nonfinancial No relevant nonfinancial relationship exists. Erin Ward, Ms. Ed, CAS Faculty Associate Children's Hospital Boston Randi Morgan, MA CCC-SLP Speech-Language Pathologist Mealtime Connections Associate Clinical Professor, University of Arizona Disclosure: Financial --- Employed at Children s Hospital Boston and receives a salary Nonfinancial Co-founder/VP TrachCare, Inc.; Board of Directors, Global Tracheostomy Collaborative Disclosure: Financial Employed by Mealtime Connections and receives a salary. Nonfinancial- No relevant nonfinancial relationships exist Passy Muir Inc. 1

2 Heather Kuzara, RN Creator and Director BAYADA Home Health Care Nursing Simulation Lab Stan Perch, RRT, RPFT Respiratory Therapist Nurse On Call Disclosure: Financial Employed by BAYADA Home Health Care and receives a salary Nonfinancial No relevant nonfinancial relationship exists Disclosure: Financial Employed by Nurse On Call and receives a salary Nonfinancial No relevant nonfinancial relationship exists. Course Objectives Define the purpose and goals of the tracheostomy home care team. Identify health care professions and resources essential to an effective tracheostomy home care plan. Describe and develop key educational components in the development of a successful and effective tracheostomy home care team. Care for the Patient with a Tracheostomy at Home: An Experience The challenges My Son Will Care systems are often fragmented Communication is often one or two dimensional, between the family & one provider rather than inter-disciplinary focused Family is put in the middle of collaboration between specialists, to be the connector Lack of coordination of care Team members leave & change over time Passy Muir Inc. 2

3 TrachCare, Inc. The Home Trach Care Puzzle It makes sense only when the pieces are put together. The Patient Centered Medical Home Its components include patient-centered care with an orientation toward the whole person, comprehensive care, care coordinated across all the elements of the health system, superb access to care, and a systems-based approach to quality and safety Institution of a tracheostomy care team contributed to: increased speaking valve use Taylor, EF, et al. (2011). Agency for Healthcare Research and Quality. AHRQ Publication No Tracheostomy Team and Speaking Valve Use Improves Outcomes Faster decannulation time (from 22.5 to 16.5 days) Decreased Length of Stay (from 60 to 41.5 days) Improved outcomes Decreased cost of care (annual savings of $402,465) Fewer tracheostomy-related complications Reducing Cost of Care Hospital Care $21,570/Month In-home care $7,050/Month Cost Difference $14,520/Month De Mestral (2011). Canadian Journal of Surgery. Jun;54(3): Cameron (2009). Critical Care and Resuscitation. 11(1):14-19 Cetto (2011). Clinical Otolaryngology. 35(5): Speed (2012). Journal of Critical Care. Respiratory Care, June 2012, Vo. 57, No. 6, Long-Term Home Mechanical Ventilation In The United States, Angela C. King RPFT, RRT-NPS. Passy Muir Inc. 3

4 Reduced Frustration Integration into family and social structure Improved living environment Increased communication and participation in care Reducing Frustration: Improving Communication These findings call for an increased sensitization to the needs of this population among staff in critical care, acute and community settings. Integrated community support services are required to help counter the significant distress endured by these families. Respiratory Care, June 2012, Vo. 57, No. 6, Long-Term Home Mechanical Ventilation In The United States, Angela C. King RPFT, RRT-NPS. Carnvale, F. et al (2006).Pediatrics. 117; e48 Key components of an effective team Building the Team Appropriately chosen team members Establish written standards Interdisciplinary education On-going monitoring Cetto, R., et al (2011). Clinical Otolaryngology. Oct;36(5): Patient Family The heart of any team the individual living with a trach. Passy Muir Inc. 4

5 Family Role There is little or no coordination between clinicians and institutions, leaving patients and their families to navigate this system on their own and often to serve as the main conduit of information between the clinicians they see. The multiple components & complexity of care in the home Taylor, EF, et al. (2011). Agency for Healthcare Research and Quality. AHRQ Publication No The ideal team: communication, collaboration & coordination The Benefits to a Home Trach Team Networking Allows a patient & family to identify allies in navigating the system The patient s treatment plans will more likely focus on the whole patient t rather than separate, systembased issues The foundation will be in place to better handle challenges that the come up with the patient s care Allows the family to have more time to be a family, rather than taking on multiple provider roles Tips for laying the groundwork Help the patient & family recognize the importance of a team approach Identifying key team members- allies Develop communication strategies and tools to promote communication between providers Identify the ingredients and create systems for multi-disciplinary care Promoting Advocacy: Resources for Patients & Families Website for patients & families: Resource for online learning: Encourage development of support groups: Promote Advocacy for Better Tracheostomy Care: Global Tracheostomy Collaborative: Model of a Home Vent Visiting Team: CAPE Boston Children s Hospital ml Online family support Facebook groups: Tracheostomy TrachCare Moms of Trach Babies Kids with Vents Passy Muir Inc. 5

6 Primary Care Physician Doctor s Role as Coordinator The Primary Care Clinician is identified as the ultimate coordinator of care in the Patient Centered medical Home. Taylor, EF, et al. (2011). Agency for Healthcare Research and Quality. AHRQ Publication No Nursing Bayada Passy-muir.com Screen shot of our home page Bayada Nursing Training Protocol 1. Study a self-directed learning module 2. Take a tracheostomy test 3. Perform a hands-on independent demonstration on trach care 4. Optional simulation lab 5. Nurse works in the home with a preceptor Passy Muir Inc. 6

7 Coordination of Services Note Pediatric Nursing Assessment Nursing Assessment (Adult) Respiratory Therapy Tracheostomy Patient Services Respiratory Therapy Nursing Speech-Language Pathology Occupational Therapy Occupational Therapy Physical Therapy Passy Muir Inc. 7

8 Role of the Respiratory Therapist Education on Suctioning Education on Tracheostomy Care Assess the need for Heated Humidity Assess the need for Oxygen Verify the presence of Emergency Equipment and Supplies THERAPY DME vs. Home Health Resources: DME: Equipment Rental Limited home visits for equipment monitoring Home health: No third party payment Home therapy and education com/watch?v=wimw7bz0flo Speech-Language Pathology Role of the Speech-Language Pathologist Promote the development of communication Developmental feeding skill advancement Dysphagia management. Passy Muir Inc. 8

9 Role of SLP Communicate with team Provide ongoing education to patient and family Continually seek further educational opportunities Questions to ask: Why was the tracheostomy placed? At what age was the tracheostomy placed? What size tracheostomy is in place? Who manages the need for the tracheostomy and is there a weaning plan in place? More Questions to ask: Does the individual use a ventilator or supplemental oxygen at any point during the day or night? Are there structural / tissue concerns we need to consider? Does the individual currently use a Passy-Muir Valve? Can the individual vocalize around the tracheostomy site without a PMV in place? More questions to ask: Does the individual currently eat, and if so, what does that mealtime look like? Does the individual ever sound "wet" during rest, vocalizations, or a mealtime? Does the individual cough to clear secretions independently? Opening Communication Mealtime Connections Release Complete company specific HIPPA compliant consent to share form at onset of service delivery to include all medical and therapeutic team members the individual/ family choose to ensure open lines of communication immediately. Passy Muir Inc. 9

10 Contact with team: Contact physician after initial evaluation to identify their weaning and tracheostomy maintenance plan Establish communication and feeding goals with the individual and family that can support that plan. SLP should try to contact key team members to support a collaborate plan of care, determine if joint or overlapping visits are possible on occasion. or call those the family listed on the consent to share form to maintain contact and support collaborative care. Ongoing communication: SLP should try to call or team members collectively when changes occur that impact the weaning plan Barriers to communication The rate of communication due to team member availability and/or schedules (contact with MD, RT, nursing, other therapists). Resources: Identify if the medical professional managing the tracheostomy has a nurse educator or equivalent who provides advanced training on the ventilator, tracheostomy, and PMV. Resources: Pediatric Tracheostomy Home Care Guide by Cynthia M. Bissell Additional Educational Opportunities Self-study webinars available on demand Getting Started Ventilator Application Swallowing Pediatric Special Populations Live group webinars Passy-Muir Inc. is an approved provider of continuing education through ASHA, AARC, and California Board of Nursing Credit Passy Muir Inc. 10

11 Receiving CEU s for this Course You will have 5 days from the time this courses ends to complete the evaluation, which is required to receive credit. Look in your for a reminder link, or type this into your Internet t browser s address bar: ep.passy-muir.com If you are a late registrant, the meeting code is: k2597p703 If you are already registered, you do not need to use this code Passy Muir Inc. 11

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY

SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY PS1006 SARASOTA MEMORIAL HOSPITAL NURSING DEPARTMENT POLICY TITLE: TRACHEOSTOMY SPEAKING VALVE EFFECTIVE DATE: REVISED DATE: POLICY TYPE: 135.008 (Respiratory Therapy) (Patient Care) 134.900 (Rehab) 10/93

More information

Information for Hospitals wishing to join The Global Tracheostomy Collaborative (GTC)

Information for Hospitals wishing to join The Global Tracheostomy Collaborative (GTC) Information for Hospitals wishing to join The Global Tracheostomy Collaborative (GTC) What is a Quality Improvement Collaborative? (QIC) A QIC is a group of hospitals who o Agree to work together to rapidly

More information

Complex Airway Services

Complex Airway Services Complex Airway Services A REFERENCE GUIDE FOR FAMILIES LIVING OUTSIDE OF CALGARY ZONE CHILDREN WITH COMPLEX AIRWAY NEEDS NOVEMBER 2016 Alberta Children s Hospital Complex Airway Services Reference Guide

More information

September 2007 Replaces: October 2001

September 2007 Replaces: October 2001 Inova Fairfax Hospital - Critical Care CRITICAL CARE STANDARD: 4.020 Passy-Muir Tracheostomy Speaking Valve September 2007 Replaces: October 2001 Sonia Astle, RN, MS, CCNS Chair Critical Care Standards

More information

PROGRAM REGISTRATION FORM Pediatric Tracheostomy Symposium August 28, 2015

PROGRAM REGISTRATION FORM Pediatric Tracheostomy Symposium August 28, 2015 PediatricTrachSymposium_Brochure 7/14/15 2:09 PM Page 1 PROGRAM REGISTRATION FORM Pediatric Tracheostomy Symposium Name: Degree: Address: Name of Hospital or Employer: Phone: ( ) Fax: ( ) Specialty: Email:

More information

AARC Clinical Practice Guideline

AARC Clinical Practice Guideline AARC Clinical Practice Guideline Discharge Planning for the Respiratory Care Patient DPRP 1.0 PROCEDURE: Development and implementation of a comprehensive plan for the safe discharge of the respiratory

More information

Policies and Procedures. ID Number: 1138

Policies and Procedures. ID Number: 1138 Policies and Procedures Title: VENTILATION Acute-Care of Mechanically Ventilated Patient - Adult RN Specialty Practice: RN Clinical Protocol: Advanced RN Intervention ID Number: 1138 Authorization: [X]

More information

Policies and Procedures. I.D. Number: 1145

Policies and Procedures. I.D. Number: 1145 Policies and Procedures Title: VENTILATION CHRONIC- CARE OF MECHANICALLY VENTILATED ADULT PERSON RNSP: RN Clinical Protocol: Advanced RN Intervention LPN Additional Competency: Care of Chronically Mechanically

More information

Advances in NICU Feeding Management

Advances in NICU Feeding Management Advances in NICU Feeding Management 3 DAY SPECIALITY WORKSHOP BOSTON SEPTEMBER 29 - OCTOBER 1 2017 Learn from world-leading experts in the field of neonatal care and management of feeding difficulties

More information

Advances in NICU Feeding Management

Advances in NICU Feeding Management Advances in Feeding Management 3 DAY SPECIALITY WORKSHOP BOSTON APRIL 26-28 2018 Learn from world-leading experts in the field of neonatal care and management of feeding difficulties VENUE One Brigham

More information

Respiratory Therapy Program Technical Standards

Respiratory Therapy Program Technical Standards Respiratory Therapy Program Technical Standards Technical Standards define the observational, communication, cognitive, affective, and physical capabilities deemed essential to complete this program and

More information

An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study

An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study Critical Care. 2008; 12(2): R48. An intensivist-led tracheostomy review team is associated with shorter decannulation time and length of stay: a prospective cohort study Antony E Tobin 1, and John D Santamaria

More information

The ABC s of ADVANCING the PROFESSION. Jerry King, MAEd, RRT The University of Birmingham ASRC Vice President

The ABC s of ADVANCING the PROFESSION. Jerry King, MAEd, RRT The University of Birmingham ASRC Vice President The ABC s of ADVANCING the PROFESSION Jerry King, MAEd, RRT The University of Alabama @ Birmingham ASRC Vice President Past Present *FUTURE* Inhalation Therapist Certified Respiratory Therapy Technician

More information

NCEPOD On the Right Trach?

NCEPOD On the Right Trach? NCEPOD On the Right Trach? Hospital Number Tracheostomy insertion (1) Consent and WHO type (surgical) checklists should be adopted and used prior to tracheostomy insertion, wherever it is performed. Q8.

More information

Click to edit Master title style

Click to edit Master title style Development and Implementation of a FEES Program in a Hospital Setting Click to edit Master title style Angela S. Dubis-Bohn MA, CCC-SLP, BRS-S Click to edit Master subtitle style Marla D. Knight MA, CCC-SLP

More information

STAR. Safety Program and Importance of RT Education. Pediatric Home Service (PHS) Who is this man? Rebecca Long, BA, RRT-NPS, LRT.

STAR. Safety Program and Importance of RT Education. Pediatric Home Service (PHS) Who is this man? Rebecca Long, BA, RRT-NPS, LRT. STAR Safety Program and Importance of RT Education Rebecca Long, BA, RRT-NPS, LRT April 30, 2012 Pediatric Home Service (PHS) An independent pediatric home health care agency in MN with 22 years experience

More information

Choosing a Tracheostomy for a Child with a Neuromuscular Disorder

Choosing a Tracheostomy for a Child with a Neuromuscular Disorder Choosing a Tracheostomy for a Child with a Neuromuscular Disorder This handout explains what a tracheostomy is and can help you decide if this is right for your child. What is a tracheostomy? Surgery is

More information

Interdisciplinary Speech-Language Pathology initiatives in the ICU: speaking valve use and other communication options

Interdisciplinary Speech-Language Pathology initiatives in the ICU: speaking valve use and other communication options Interdisciplinary Speech-Language Pathology initiatives in the ICU: speaking valve use and other communication options Joanne LeBlanc MOA SLP (C) Judith Robillard Shultz MSc(A) S-LP (C) McGill University

More information

T H E N E W I N T E R N A T I O N A L D Y S P H A G I A D I E T S TA N D A R D I Z A T I O N I N I T I A T I V E

T H E N E W I N T E R N A T I O N A L D Y S P H A G I A D I E T S TA N D A R D I Z A T I O N I N I T I A T I V E IDDSI? T H E N E W I N T E R N A T I O N A L D Y S P H A G I A D I E T S TA N D A R D I Z A T I O N I N I T I A T I V E P R E S E N T E R : S A R A B R O W N I N G, M S, R D N, C D DISCLOSURE SARA BROWNING

More information

NM Adult SAFE Clinic: An Extension of DDSD s Mission to Manage Aspiration Risk. Continuum of care conference February 3, 2017

NM Adult SAFE Clinic: An Extension of DDSD s Mission to Manage Aspiration Risk. Continuum of care conference February 3, 2017 NM Adult SAFE Clinic: An Extension of DDSD s Mission to Manage Aspiration Risk Continuum of care conference February 3, 2017 A History Lesson NM Institutions closed for individuals with I/DD 1997 Individuals

More information

ALABAMA MEDICAID AGENCY LONG TERM CARE DIVISION ADMINISTRATIVE CODE CHAPTER 560-X-63 VENTILATOR-DEPENDENT AND QUALIFIED TRACHEOSTOMY CARE

ALABAMA MEDICAID AGENCY LONG TERM CARE DIVISION ADMINISTRATIVE CODE CHAPTER 560-X-63 VENTILATOR-DEPENDENT AND QUALIFIED TRACHEOSTOMY CARE Medicaid Chapter 560-X-63 ALABAMA MEDICAID AGENCY LONG TERM CARE DIVISION ADMINISTRATIVE CODE CHAPTER 560-X-63 VENTILATOR-DEPENDENT AND QUALIFIED TRACHEOSTOMY CARE TABLE OF CONTENTS 560-X-63-.01 560-X-63-.02

More information

Mobile Dysphagia Consultants Your Mobile Partner in Swallowing Disorders

Mobile Dysphagia Consultants Your Mobile Partner in Swallowing Disorders Mobile Dysphagia Consultants Your Mobile Partner in Swallowing Disorders To Schedule a Dysphagia Consultation Please FAX the Order Form(s) to 978.279.1066 (All forms can be downloaded at www.massteximaging.com)

More information

Use of water swallowing test as a screening tool in acute stroke unit

Use of water swallowing test as a screening tool in acute stroke unit Use of water swallowing test as a screening tool in acute stroke unit Amy Wong 1, Fanny Ip 2 & Ripley Wong 1 Queen Mary Hospital Presentation quote 1: Speech Therapists, Speech Therapy Department 2: Ward

More information

Pediatric Neuromuscular Symposium

Pediatric Neuromuscular Symposium Pediatric Neuromuscular Symposium Saturday, October 27, 2018 Faculty Office Building Conference Room Memphis, TN Purpose To discuss the state-of-the-art care and research of children with cerebral palsy,

More information

PROVIDER POLICIES & PROCEDURES

PROVIDER POLICIES & PROCEDURES PROVIDER POLICIES & PROCEDURES EXTENDED NURSING SERVICES The purpose of this document is to provide guidance to providers enrolled in the Connecticut Medical Assistance Program (CMAP) on the requirements

More information

A Comprehensive View of Dementia Promotional **You MUST print this for Continuing Education purposes and keep with your certificate of completion.

A Comprehensive View of Dementia Promotional **You MUST print this for Continuing Education purposes and keep with your certificate of completion. A Comprehensive View of Dementia Promotional **You MUST print this for Continuing Education purposes and keep with your certificate of completion. Requirements: For successful completion of this course

More information

Part 1: Basic Data. Module Code UZYSY Level 2 Version 1

Part 1: Basic Data. Module Code UZYSY Level 2 Version 1 ACADEMIC SERVICES MODULE SPECIFICATION Part 1: Basic Data Module Title Critical Care and Cardio Respiratory Rehabilitation Module Code UZYSY8-30-2 Level 2 Version 1 UWE Credit Rating 30 ECTS Credit Rating

More information

@ncepod #tracheostomy

@ncepod #tracheostomy @ncepod #tracheostomy 1 Introduction Tracheostomy: Remedy upper airway obstruction Avoid complications of prolonged intubation Protection & maintenance of airway The number of temporary tracheostomies

More information

Passy-MuirInc. Helping the Chronically Critically Ill To Communicate: Speaking Valve Pilot Trial. A. Desai, MD1, L. Rho, MD1and J.

Passy-MuirInc. Helping the Chronically Critically Ill To Communicate: Speaking Valve Pilot Trial. A. Desai, MD1, L. Rho, MD1and J. American Journal of Respiratory Critical Care Medicine 179;2009:A3083 Helping the Chronically Critically Ill To Communicate: Speaking Valve Pilot Trial A. Desai, MD1, L. Rho, MD1and J. Nelson, MD, JD1

More information

Appendix B: Restorative Care Training Presentation. Audience: All Staff Release date: December

Appendix B: Restorative Care Training Presentation. Audience: All Staff Release date: December Appendix B: Restorative Care Training Presentation Audience: All Staff Release date: December 17 2010 Objectives At the completion of this session, participants will be able to: Understand the principles

More information

Improving Transition Home through a Standardized Discharge Process. Christopher D. Baker, MD Associate Professor of Pediatrics May 10, 2016

Improving Transition Home through a Standardized Discharge Process. Christopher D. Baker, MD Associate Professor of Pediatrics May 10, 2016 Improving Transition Home through a Standardized Discharge Process Christopher D. Baker, MD Associate Professor of Pediatrics May 10, 2016 Objectives Identify components of the Children s Hospital Colorado

More information

Family/Caregiver Education Checklist Return Demonstration of Knowledge FIRST 24 HOURS

Family/Caregiver Education Checklist Return Demonstration of Knowledge FIRST 24 HOURS of Knowledge FIRST 24 HOURS The following checklists will be completed by a PDN RN or LPN to ensure family/caregiver s skill level is adequate to safely take care of their child independently Teaching

More information

The National Parkinson Foundation s Allied Team Training for Parkinson s (ATTP) Miami, Florida May 17-20, 2017

The National Parkinson Foundation s Allied Team Training for Parkinson s (ATTP) Miami, Florida May 17-20, 2017 The National Parkinson Foundation s Allied Team Training for Parkinson s (ATTP) Miami, Florida May 17-20, 2017 Jointly Provided by: Location: Sheraton Miami Airport Hotel 3900 NW 21st Street Miami, FL

More information

Tracheostomy Care Test Questions

Tracheostomy Care Test Questions Care Test Questions Free PDF ebook Download: Care Test Questions Download or Read Online ebook tracheostomy care test questions in PDF Format From The Best User Guide Database Ask questions about caring

More information

(800) dscc.uic.edu

(800) dscc.uic.edu DSCC Helps Transition Children with Complex Medical Needs from Hospital to Home Cynthia Booth, MS, RN, APN & Amy Cunningham, RN, BSN Home Care Program Educational Objectives Understand DSCC s mission and

More information

Understanding & Managing Reimbursement Opportunities for SNF Medicare Part A

Understanding & Managing Reimbursement Opportunities for SNF Medicare Part A Understanding & Managing Reimbursement Opportunities for SNF Medicare Part A Learn About PPS Final Rule MDS 3.0 / RUG IV Concurrent Therapy EARN 6 CEU S Understanding and Managing Reimbursement Opportunities

More information

Alliance for Innovation on Maternal and Child Health Expanding Access to Care for Maternal and Child Health Populations Kentucky

Alliance for Innovation on Maternal and Child Health Expanding Access to Care for Maternal and Child Health Populations Kentucky Alliance for Innovation on Maternal and Child Health Expanding Access to Care for Maternal and Child Health Populations Kentucky INTRODUCTION/BACKGROUND As part of the Alliance for Innovation on Maternal

More information

Seven Hills. Pediatric Center. Pediatric Center. We understand that families. reach a point when they need. to explore other care options

Seven Hills. Pediatric Center. Pediatric Center. We understand that families. reach a point when they need. to explore other care options We understand that families reach a point when they need to explore other care options for their medically complex children. They seek a place that offers state-of-the-art medical treatment, educational

More information

Interprofessional Education Seminar Series: A Certificate Program for Health Care Providers. Basic Education of Selected Healthcare Professionals

Interprofessional Education Seminar Series: A Certificate Program for Health Care Providers. Basic Education of Selected Healthcare Professionals Interprofessional Education Seminar Series: A Certificate Program for Health Care Providers Basic Education of Selected Healthcare Professionals Audiology Dentist Dietician Evaluate and treat hearing and

More information

Speech and Language Therapy Service Inpatient services

Speech and Language Therapy Service Inpatient services Speech and Language Therapy Service Inpatient services Management of Dysphagia in individuals on inpatient wards (excluding adults with acquired brain injury) Author(s) Joanna Brackley Amy Foster V03 Issue

More information

SUPPORT FOR TRANSITIONING FROM ASSOCIATE TO BACCALAUREATE DEGREES IN RESPIRATORY THERAPY. American Association for Respiratory Care

SUPPORT FOR TRANSITIONING FROM ASSOCIATE TO BACCALAUREATE DEGREES IN RESPIRATORY THERAPY. American Association for Respiratory Care SUPPORT FOR TRANSITIONING FROM ASSOCIATE TO BACCALAUREATE DEGREES IN RESPIRATORY THERAPY American Association for Respiratory Care Growth in Necessary Competencies Diagnostics Competencies 1 Disease management

More information

APP PRIVILEGES IN OTOLARYNGOLOGY

APP PRIVILEGES IN OTOLARYNGOLOGY APP PRIVILEGES IN OTOLARYNGOLOGY Education/Training Licensure (Initial and Reappointment Required Qualifications Successful completion of a PA or NP program Current Licensure as a PA or RN in the state

More information

Guidelines & Standards. The American Association for Respiratory Care Ables Lane Dallas, Texas 75229

Guidelines & Standards. The American Association for Respiratory Care Ables Lane Dallas, Texas 75229 Guidelines & Standards The American Association for Respiratory Care 11030 Ables Lane Dallas, Texas 75229 / Administrative Standards for Respiratory Care Services and Personnel An Official Statement from

More information

Cohort 20 Team 7. Improving Care Of The Pediatric Patient With A Tracheostomy

Cohort 20 Team 7. Improving Care Of The Pediatric Patient With A Tracheostomy Cohort 20 Team 7 Improving Care Of The Pediatric Patient With A Tracheostomy Team Members & Participants Marisa Earley, MD / Medical Resource Carlos Montano / Respiratory Resource Nelia Acuna / Nursing

More information

Rapid Assessment and Treatment (R.A.T.) Team to the Rescue. The Development and Implementation of a Rapid Response Program at a Regional Facility

Rapid Assessment and Treatment (R.A.T.) Team to the Rescue. The Development and Implementation of a Rapid Response Program at a Regional Facility Rapid Assessment and Treatment (R.A.T.) Team to the Rescue The Development and Implementation of a Rapid Response Program at a Regional Facility Dynamics 2013 Lethbridge Chinook Regional Hospital 276 Bed

More information

3/15/2013. Objectives. Academy Scope of Practice for RDs and DTRs: A Tool for Determining Competence and Advancing Practice

3/15/2013. Objectives. Academy Scope of Practice for RDs and DTRs: A Tool for Determining Competence and Advancing Practice Academy Scope of Practice for RDs and DTRs: A Tool for Determining Competence and Advancing Practice Marsha Stieber, MSA RD Chair, Quality Management Committee Academy of Nutrition and Dietetics Objectives

More information

Your Hospital Stay After Iliac Crest Free Flap Surgery

Your Hospital Stay After Iliac Crest Free Flap Surgery Your Hospital Stay After Iliac Crest Free Flap Surgery What to expect This handout explains what to expect during your hospital stay after your iliac crest free flap surgery. It includes where you will

More information

Subject: Skilled Nursing Facilities (Page 1 of 6)

Subject: Skilled Nursing Facilities (Page 1 of 6) Subject: Skilled Nursing Facilities (Page 1 of 6) Objective: I. To ensure that Tuality Health Alliance (THA) and delegated Providence Health Plan Medicare members are appropriately placed in skilled nursing

More information

Helen Kenedi, M.S., CCC-SLP Jenny Reynolds, M.S., CCC-SLP JoBeth Vance, M.S., CCC-SLP

Helen Kenedi, M.S., CCC-SLP Jenny Reynolds, M.S., CCC-SLP JoBeth Vance, M.S., CCC-SLP Helen Kenedi, M.S., CCC-SLP Jenny Reynolds, M.S., CCC-SLP JoBeth Vance, M.S., CCC-SLP Disclosure Helen Kenedi, Jenny Reynolds, and JoBeth Vance have no financial or nonfinancial disclosures and do not

More information

PEDIATRIC ALOC Guidelines. ALOC Guidelines ALOC

PEDIATRIC ALOC Guidelines. ALOC Guidelines ALOC PEDIATRIC Guidelines Guidelines The Alternate Level of Care () Guidelines are intended to assist the reviewer in identifying the next safest and appropriate level of care options. They allow the reviewer

More information

SASKATCHEWAN ASSOCIATIO. RN Specialty Practices: RN Guidelines

SASKATCHEWAN ASSOCIATIO. RN Specialty Practices: RN Guidelines SASKATCHEWAN ASSOCIATIO N RN Specialty Practices: RN Guidelines July 2016 2016, Saskatchewan Registered Nurses Association 2066 Retallack Street Regina, SK S4T 7X5 Phone: (306) 359-4200 (Regina) Toll Free:

More information

Eating, drinking and speech following surgery for cancer of the mouth

Eating, drinking and speech following surgery for cancer of the mouth Eating, drinking and speech following surgery for cancer of the mouth Speech and Language Therapy Information for Patients i Leaflet number: 504 Version: 3 Produced: July 2018 Review: July 2021 Introduction

More information

UNIT DESCRIPTIONS. 2 North Musculoskeletal Rehabilitative Care

UNIT DESCRIPTIONS. 2 North Musculoskeletal Rehabilitative Care UNIT DESCRIPTIONS 2 North Musculoskeletal Rehabilitative Care Musculoskeletal Rehabilitation The Musculoskeletal Service provides rehabilitation following multiple trauma, or orthopaedic surgery (primarily

More information

ALOC Guidelines ALOC. PEDIATRIC ALOC Guidelines

ALOC Guidelines ALOC. PEDIATRIC ALOC Guidelines PEDIATRIC Guidelines Guidelines The Alternate Level of Care () Guidelines are intended to assist the reviewer in identifying the next safest and appropriate level of care options. They allow the reviewer

More information

Patient Name: David Thomas Diagnosis: Cancer, Tracheostomy

Patient Name: David Thomas Diagnosis: Cancer, Tracheostomy Patient Name: David Thomas Diagnosis: Cancer, Tracheostomy Overview of Scenario Simulated Patient Overview Target Audience (Part A): 2 nd year Speech Pathology students, 2 nd year Social Work students

More information

When Feeding Becomes Disordered: Strategies to Improve Pediatric Health Outcomes Saturday, April 9, 2016

When Feeding Becomes Disordered: Strategies to Improve Pediatric Health Outcomes Saturday, April 9, 2016 When Feeding Becomes Disordered: Strategies to Improve Pediatric Health Outcomes Saturday, April 9, 2016 Ruth and Tristram Colket, Jr. Translational Research Building at The Children s Hospital of Philadelphia

More information

Your Hospital Stay After Fibular Free Flap Surgery

Your Hospital Stay After Fibular Free Flap Surgery Your Hospital Stay After Fibular Free Flap Surgery What to expect This handout explains what to expect during your hospital stay after your fibular free flap surgery. It includes where you will stay after

More information

Your Hospital Stay After Radial Forearm Free Flap Surgery

Your Hospital Stay After Radial Forearm Free Flap Surgery Your Hospital Stay After Radial Forearm Free Flap Surgery What to expect This handout explains what to expect during your hospital stay after your radial forearm free flap surgery. It includes where you

More information

POLICIES AND PROCEDURES

POLICIES AND PROCEDURES POLICIES AND PROCEDURES POLICY: 535.10 TITLE: EFFECTIVE: 4/13/17 REVIEW: 4/2022 SUPERCEDES: APPROVAL SIGNATURES ON FILE IN EMS OFFICE PAGE: 1 of 14 I. AUTHORITY Division 2.5, California Health and Safety

More information

Making Meals and Mealtime Meaningful Nutrition and Dementia

Making Meals and Mealtime Meaningful Nutrition and Dementia Volume XXXI Making Meals and Mealtime Meaningful A Video Guide for Nurses and Certified Nursing Assistants in Long-Term Care Facilities Facilitator s Guide [1] Making Meals and Mealtime Meaningful Making

More information

PLACEMENT. Disclaimer

PLACEMENT. Disclaimer 1 TITLE: GUIDELINE FOR PERCUTANEOUS ENDOSCOPIC GASTROSTOMY TUBE Disclaimer PLACEMENT The Canadian Society of Gastroenterology Nurses and Associates (CSGNA) presents this guideline to be used as a reference

More information

Frequently Asked Questions

Frequently Asked Questions Frequently Asked Questions The purpose of this document is to provide quick and easy reference to the most frequently asked questions. Where necessary, and for your convenience, names of forms, policies,

More information

Pediatric Private Duty Nursing Qualification Assessment Background. Section 1. Section 2

Pediatric Private Duty Nursing Qualification Assessment Background. Section 1. Section 2 Background The Pediatric Private Duty Nursing Qualification Assessment tool is designed to accurately determine a client s need for private duty nursing hours, while considering all conditions which require

More information

Coding Guidelines for Certain Respiratory Care Services January 2018 (updates in red)

Coding Guidelines for Certain Respiratory Care Services January 2018 (updates in red) Coding Guidelines for Certain Respiratory Care Services (updates in red) Overview From time to time the AARC receives inquiries about respiratory-related coding and coverage issues through its Help Line

More information

Creating Documentation for Section GG

Creating Documentation for Section GG Creating Documentation for Section GG Table of Contents Inter-disciplinary Approach... 1 Setup... 1 CNA Data Entry... 2 Other Staff Observations... 4 Section GG Tracking... 5 Final Discipline Decisions...

More information

Tools and Techniques for Patient-Centered Care for Aphasia: Case Examples

Tools and Techniques for Patient-Centered Care for Aphasia: Case Examples Tools and Techniques for Patient-Centered Care for Aphasia: Case Examples Jacqueline J. Hinckley, Ph.D., BC-ANCDS Choose Quality, LLC St. Petersburg, FL Dr.JJHinckley@gmail.com Debbie Yones, M.S., CCC-SLP

More information

Initiating a Rapid Response Team

Initiating a Rapid Response Team Initiating a Rapid Response Team Trials and Tribulations! Washington County Hospital Facility Location Size Hagerstown, MD 320 bed Programs/Services History Emergency Services, Critical Care, Med/Surg,

More information

Innovation. Successful Outpatient Management of Kidney Stone Disease. Provider HealthEast Care System

Innovation. Successful Outpatient Management of Kidney Stone Disease. Provider HealthEast Care System Successful Outpatient Management of Kidney Stone Disease HealthEast Care System Many patients with kidney stones return to the ED multiple times due to recurrent symptoms. Patients then tend to receive

More information

Introduction David Roberson, MD, FACS

Introduction David Roberson, MD, FACS Introduction David Roberson, MD, FACS Welcome Thank you for joining us GTD USA kickoff April 26, 2014 GTD USA kickoff April 26, 2014 This is a team effort Thanks to sponsors & donors Boston Children s

More information

Slide 1. Slide 2. Slide 3. Disclosure. Overview STRETCH YOUR KNOWLEDGE OF TELEPRACTICE. Definition Terms Benefits Practice Considerations FERPA/HIPAA

Slide 1. Slide 2. Slide 3. Disclosure. Overview STRETCH YOUR KNOWLEDGE OF TELEPRACTICE. Definition Terms Benefits Practice Considerations FERPA/HIPAA Slide 1 STRETCH YOUR KNOWLEDGE OF TELEPRACTICE Service Delivery, Regulation, Reimbursement Slide 2 Disclosure Cheris Frailey, M.A., CCC-SLP Director, State Education and Legislative Advocacy Financial:

More information

Medical Review Criteria Skilled Nursing Facility & Subacute Care

Medical Review Criteria Skilled Nursing Facility & Subacute Care Medical Review Criteria Skilled Nursing Facility & Care Subject: Skilled Nursing Facility and Care Background: Skilled nursing facilities () provide facility-based skilled nursing care and related services

More information

Neurocritical Care Fellowship Program Requirements

Neurocritical Care Fellowship Program Requirements Neurocritical Care Fellowship Program Requirements I. Introduction A. Definition The medical subspecialty of Neurocritical Care is devoted to the comprehensive, multisystem care of the critically-ill neurological

More information

IMPORTANT PROVIDER UPDATES

IMPORTANT PROVIDER UPDATES December 28, 2015 IMPORTANT PROVIDER UPDATES Dear Provider, Please find attached important updates, reminders and policy changes for Coordinated Care providers regarding: Page Title Number 2 Notice 1:

More information

Dysphagia Management in Stroke

Dysphagia Management in Stroke Dysphagia Management in Stroke Acute Stroke Best Practices Workshop Advancing Best Practices in Acute Stroke Care February 23, 2016 Laurie Broadfoot M.S., S-LP reg CASLPO Objectives To offer a basic overview

More information

Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre

Barriers to Early Rehabilitation in Critically Ill Patients. Shannon Goddard, MD Sunnybrook Health Sciences Centre Barriers to Early Rehabilitation in Critically Ill Patients Shannon Goddard, MD Sunnybrook Health Sciences Centre Disclosures/Funding No financial disclosures or conflicts of interest Work is funding by

More information

CME Activity Application Carolinas HealthCare System/Charlotte AHEC Office of Continuing Medical Education

CME Activity Application Carolinas HealthCare System/Charlotte AHEC Office of Continuing Medical Education CME Activity Application Carolinas HealthCare System/Charlotte AHEC Office of Continuing Medical Education For additional guidance on completing this application, reference the Application Guide. Activity

More information

Outcomes of patients with spinal cord injury before and after introduction of an interdisciplinary tracheostomy team

Outcomes of patients with spinal cord injury before and after introduction of an interdisciplinary tracheostomy team Outcomes of patients with spinal cord injury before and after introduction of an interdisciplinary tracheostomy team Tanis S Cameron, Anita McKinstry, Susan K Burt, Mark E Howard, Rinaldo Bellomo, Douglas

More information

Communication vulnerability impacts EVERYONE the patient, family, and staff. Communication Vulnerability. Impact on Patients

Communication vulnerability impacts EVERYONE the patient, family, and staff. Communication Vulnerability. Impact on Patients ! Communication vulnerability AAC Intervention in the Intensive and Acute Care Settings, MS, CCC-SLP Augmentative Communication Program! Who it impacts! Role of SLP! Equipment closet Communication Vulnerability!

More information

Protected Mealtimes Policy

Protected Mealtimes Policy Protected Mealtimes Policy DRAFT 7 [Jan 2012] SG Approved by: On: Review date: Directorate responsible for review: Policy Number: To be read in conjunction with the following policies: Food Safety Policy

More information

Speech Language Pathology

Speech Language Pathology P A G E 1 Speech Language Pathology Professional Practice Leader (Interim) (West 5 th, Charlton) Bonnie Reaburn-Jones, MSc, Reg. CASLPO Number of Members of Discipline Charlton West 5th 12.7 FTE.4 FTE

More information

Home Discharge of Technology-Dependent Children: Evaluation of a Respiratory-Therapist Driven Family Education Program

Home Discharge of Technology-Dependent Children: Evaluation of a Respiratory-Therapist Driven Family Education Program Home Discharge of Technology-Dependent Children: Evaluation of a Respiratory-Therapist Driven Family Education Program Donna K Tearl RRT and James H Hertzog MD BACKGROUND: Initial hospital discharge to

More information

Effective: Revised: April 15, 2016 SUCTIONING, MODIFIED STERILE TRACHEAL

Effective: Revised: April 15, 2016 SUCTIONING, MODIFIED STERILE TRACHEAL SUCTIONING, MODIFIED STERILE TRACHEAL Purpose: Tracheal suctioning is performed to remove secretions and maintain a patent airway. Additional Authority: Nevada Revised Statute, Nevada Nurse Practice Act,

More information

Your Unborn Child. Our Promise. Early Infant Feeding: Supporting the Breastfeeding Dyad

Your Unborn Child. Our Promise. Early Infant Feeding: Supporting the Breastfeeding Dyad Your Unborn Child. Our Promise. Early Infant Feeding: Supporting the Breastfeeding Dyad September 7, 2018 Nemours/Alfred I. dupont Hospital for Children Wilmington, Delaware Course Objectives: Discuss

More information

37 Annual Meeting. Hilton Easton Chagrin Dr. Columbus, OH Phone: 614/

37 Annual Meeting. Hilton Easton Chagrin Dr. Columbus, OH Phone: 614/ Product or Service Information Product or Service Information 37 Annual Meeting Product or Service Information Product or Service Information Hilton Easton 3900 Chagrin Dr. Columbus, OH 43219 Phone: 614/414-5000

More information

About the Critical Care Center

About the Critical Care Center Patient and Family Education Section 2 About the Critical Care Center The 5-Southeast and 5-East units 5-Southeast and 5-East When You Arrive for a Visit Patient Services Specialist Waiting Rooms Patient

More information

Rehabilitation Readiness. Lane Brown, PhD Magee Rehabilitation at Jefferson March 1,2018

Rehabilitation Readiness. Lane Brown, PhD Magee Rehabilitation at Jefferson March 1,2018 Rehabilitation Readiness Lane Brown, PhD Magee Rehabilitation at Jefferson March 1,2018 Today s Rehabilitation Readiness Discussion: Rehabilitation settings Characteristics of inpatient settings Characteristics

More information

Respiratory Care Conference

Respiratory Care Conference Respiratory Care Conference Thursday, Sept. 22, 2016 Leonard and Madlyn Abramson Pediatric Research Center at The Children s Hospital of Philadelphia www.chop.edu/cme Course Information Course Overview

More information

The Role of the RT in Homecare and Pulmonary Rehab: What the Future May Hold

The Role of the RT in Homecare and Pulmonary Rehab: What the Future May Hold The Role of the RT in Homecare and Pulmonary Rehab: What the Future May Hold Presented by Kenneth A. Wyka, MS, RRT, AE-C, FAARC Director Clinical Education and Associate Dean Independence University, Salt

More information

Objectives. 4 types of transport systems. History of EMS 8/20/2013. I want to go home: Developing a pediatric palliative care transport model

Objectives. 4 types of transport systems. History of EMS 8/20/2013. I want to go home: Developing a pediatric palliative care transport model Objectives I want to go home: Developing a pediatric palliative care transport model Vivian Broussard, RN, BSN, CPN, CHPPN Christy Dressler, RRT-NPS, C-NPT Jenni Linebarger, MD, MPH, FAAP 1. Understand

More information

Prior Authorization form for Post-Acute Care Admission and Recertification for SNF,LTAC and Rehab

Prior Authorization form for Post-Acute Care Admission and Recertification for SNF,LTAC and Rehab Prior Authorization form for Post-Acute Care Admission and Recertification for SNF,LTAC and Rehab (Required for all Rehab, SNF, LTAC admits) Providers must request authorization for initial admissions

More information

does staff intervene; used? If not, describe.

does staff intervene; used? If not, describe. Use this pathway for a resident who requires or receives respiratory care services (i.e., oxygen therapy, breathing exercises, sleep apnea, nebulizers/metered-dose inhalers, tracheostomy, or ventilator)

More information

National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI)

National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) October 27, 2016 To: Subject: National Institutes of Health, National Heart, Lung and Blood Institute (NHLBI) COPD National Action Plan As the national professional organization with a membership of over

More information

(2) Must, if necessary or if requested, assist the resident. (ii) By arranging for transportation to and from the dental services locations;

(2) Must, if necessary or if requested, assist the resident. (ii) By arranging for transportation to and from the dental services locations; 678 (2) Must, if necessary or if requested, assist the resident * * * * * (ii) By arranging for transportation to and from the dental services locations; (3) Must promptly, within 3 days, refer residents

More information

DE SOTO CENTER NORTHWEST MISSISSIPPI COMMUNITY COLLEGE

DE SOTO CENTER NORTHWEST MISSISSIPPI COMMUNITY COLLEGE DE SOTO CENTER NORTHWEST MISSISSIPPI COMMUNITY COLLEGE Dear Prospective Student: Thank you for your interest in our associate degree program in respiratory therapy. Respiratory therapy is the allied health

More information

Modesto Junior College Course Outline of Record EMS 350

Modesto Junior College Course Outline of Record EMS 350 Modesto Junior College Course Outline of Record EMS 350 I. OVERVIEW The following information will appear in the 2011-2012 catalog EMS 350 First Responder with Healthcare Provider CPR 3 Units Formerly

More information

Providing Speech Therapy at Home for the Medically Fragile Children

Providing Speech Therapy at Home for the Medically Fragile Children Providing Speech Therapy at Home for the Medically Fragile Children Jessica Buringrud, MA, CCC-SLP Sarah Focke, MS, CCC-SLP Leandre Gerwin, MA, CCC-SLP Kirsten Keppner, MS, CCC-SLP Snow Wilfong, MS, CCC-SLP

More information

Exploring the Care of Medically Complex Children

Exploring the Care of Medically Complex Children Exploring the Care of Medically Complex Children Disclosure Wisdeen Wu, DO April 14, 2017 Wisdeen Wu, D.O. has no relationships with commercial companies to disclose. Learning Objectives At the end of

More information

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario

Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario Quality Improvement Plan (QIP) Narrative for Health Care Organizations in Ontario 3/31/2016 Holland Bloorview Kids Rehabilitation Hospital 1 Overview Holland Bloorview continues to lead pediatric rehabilitation

More information

Welcome and Instructions

Welcome and Instructions Welcome and Instructions For audio, join by telephone at 877-594-8353, participant code 56350822# Your line is OPEN. Please do not use the hold feature on your phone but do mute your line by dialing *6.

More information

The Patient Centered Medical Home Guidelines: A Tool to Compare National Programs

The Patient Centered Medical Home Guidelines: A Tool to Compare National Programs The Patient Centered Medical Home Guidelines: A Tool to Compare National Programs Medical Group Management Association (MGMA ) publications are intended to provide current and accurate information and

More information